Document Detail

Necrotising fasciitis complicating Haemophilus influenzae type b epiglottitis in an adult.
MedLine Citation:
PMID:  19930753     Owner:  NLM     Status:  In-Process    
OBJECTIVE: To present the first reported case of Haemophilus influenzae type b epiglottitis leading to necrotising fasciitis. METHOD: Case report and review of the literature regarding the association of necrotising fasciitis with Haemophilus influenzae infection and with epiglottitis. CASE REPORT: A previously well, 64-year-old woman presented with epiglottitis, and subsequently developed necrotising fasciitis of her chest wall. The cause of both infections was Haemophilus influenzae serotype b. This organism has frequently been implicated in epiglottitis, but has not previously been reported to cause simultaneous necrotising fasciitis. The patient became critically ill, requiring intensive care management, but following surgical debridement and antibiotic treatment she made a full recovery. CONCLUSION: Although increasingly uncommon, clinicians must continue to be proficient in the diagnosis and management of epiglottitis, and to be aware of its full range of possible complications. This case report highlights a previously unknown and potentially fatal complication of Haemophilus influenzae type b epiglottitis.
C Chalmers
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Publication Detail:
Type:  Journal Article     Date:  2009-11-23
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  807-9     Citation Subset:  AIM; IM    
Department of Anaesthesia, Crosshouse Hospital, Kilmarnock, Scotland, UK.
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